JULY 15, 2016
Coronary Artery Disease
Coronary artery disease (CAD) is the most common type of heart disease
in the United States. For some people, the first sign of CAD is a heart
attack. You and your health care team may be able to help you reduce
your risk for CAD.
Causes of CAD
CAD is caused by plaque buildup in the walls of the arteries that supply
blood to the heart (called coronary arteries) and other parts of the body.
Plaque is made up of deposits of cholesterol and other substances in the
artery. Plaque buildup causes the inside of the arteries to narrow over
time, which could partially or totally block the blood flow. This process is
called atherosclerosis.
Too much plaque buildup and narrowed artery walls can make it hard-
er for blood to flow through your body. When your heart muscle doesn’t
get enough blood, you may have chest pain or discomfort, called angina.
Angina is the most common symptom of CAD.
Over time, CAD can weaken the heart muscle. This may lead to heart
failure, a serious condition where the heart can’t pump blood the way that
it should. An irregular heartbeat, or arrhythmia, also can develop.
Diagnosing CAD
To find out your risk for CAD, your health care team may measure your
blood pressure, cholesterol and sugar levels. Being overweight, physical
inactivity, unhealthy eating and smoking tobacco are risk factors for CAD.
A family history of heart disease also increases your risk for CAD. If you’re
at high risk for heart disease or already have symptoms, your doctor can
use several tests to diagnose CAD.
Reducing Your Risk for CAD
If you have CAD, your health care team may suggest the following steps
to help lower your risk for heart attack or worsening heart disease:
• Lifestyle changes, such as eating a healthier (lower sodium, lower fat)
diet, increasing physical activity and quitting smoking.
• Medications to treat the risk factors for CAD, such as high cholesterol,
high blood pressure, an irregular heartbeat and low blood flow.
• Surgical procedures to help restore blood flow to the heart.
To find out about your risk of CAD, call the Grand Ronde Health and
Wellness Center to schedule an appointment or talk to your primary health
care provider about your risk.
Health & Wellness Center Entrance
Reminder: The drive-through entrance at the Health & Wellness
Center is for loading and unloading only. The entrance was built
with our Elders and those with mobility issues and their ease of ac-
cess in mind. If you are coming to the center to pick up prescriptions,
please park in one of our regular parking spaces.
Thank you,
Grand Ronde Health & Wellness Center Administration
Dear Grand Ronde Pharmacy
Mail Order Patients:
In order to best serve you please note the following:
• Allow a MINIMUM of FIVE BUSINESS days before calling to check
on the status of your mailed prescriptions. We are open Monday
through Friday and closed major holidays.
• When calling 503-879-2342 (option 1 then 5) the following is
needed to best trace your package:
Prescription number
Your name and approximate date of request also will
be needed if you do not have your prescription number.
Beginning Aug. 1 we will no longer provide overnight services.
Please plan your requests accordingly to make sure you do not run
out of your medications.
You may call in your refill requests seven days before you are due
in order to allow enough time to process and receive the medications
in the mail before you are out.
Medications usually stored in the refrigerator will be bubble packed
with a cool pack to keep them at or below room temperature during
shipment. These medications are stable for up to 14-28 days at
room temperature.
Thank you for helping us provide you with quality patient care.
Sincerely,
Grand Ronde Pharmacy staff
S moke S ignals
25
Grand Ronde Health &
Wellness Pharmacy
Please be advised for:
Refill Requests
In order to best serve you, please note the following time require-
ments for your refill requests:
(Valid) Refills remaining – 48-72 hours
NO refills remaining – up to 7 days*
*This allows us time to coordinate and correct any needs
that may exist for your refill
PLEASE LET US KNOW IF YOU WILL BE OUT BEFORE THIS
TIME FRAME ON A MAINTENANCE MEDICATION SO THAT WE
CAN BEST ACCOMMODATE YOUR NEEDS.
Thank you for allowing us to serve your prescriptions needs.
Sincerely,
Your Pharmacy staff
Low Sodium Foods: Shopping list
Most people eat much more sodium (salt) than they need. This can lead to
health problems like high blood pressure. To lower the amount of sodium in
your diet, follow these tips when you go food shopping:
• Choose fresh instead of processed foods when you can.
• Use the Nutrition Facts label to check the amount of sodium. Look for foods
with 5 percent Daily Value (DV) or less. A sodium content of 20 percent DV
or more is high.
• Look for foods labeled “low sodium,” “reduced sodium” or “no salt added.”
Take the list below with you the next time you go food shopping.
Vegetables and Fruits
Get plenty of vegetables and fruits.
• Any fresh fruits, like apples, oranges or bananas
• Any fresh vegetables, like spinach, carrots or broccoli
• Frozen vegetables without added sauce
• Canned vegetables that are low in sodium or have no salt added
• Low sodium vegetable juice
• Frozen or dried fruit (unsweetened)
• Canned fruit (packed in water or 100 percent juice, not syrup)
Breads, Cereals and Grains
Compare labels to find products with less sodium. When you cook rice or
pasta, don’t add salt.
• Rice or pasta
• Unsweetened oatmeal
• Unsalted popcorn
Tip: If your food comes with a seasoning packet, use only part of the packet.
This will lower the amount of sodium in the food.
Meats, Nuts and Beans
Choose fresh meats when possible. Some fresh meat has added sodium, so
always check the label.
• Fish or shellfish
• Chicken or turkey breast without skin
• Lean cuts of beef or pork
• Unsalted nuts and seeds
• Dried peas and beans
• Canned beans labeled “no salt added” or “low sodium”
• Eggs
Dairy Products
Choose fat-free or low-fat milk and yogurt. Be sure to check the label on
cheese, which can be high in sodium. Milk and yogurt are also good sources
of potassium, which can help lower blood pressure.
• Fat-free or low-fat (1 percent) milk
• Fat-free or low-fat yogurt
• Low- or reduced-sodium cheese (like natural Swiss cheese)
• Soy milk with added calcium
Dressings, Oils and Condiments
When you cook, use ingredients that are low in sodium or have no sodium
at all.
• Unsalted margarine and spreads (soft, tub or liquid) with no trans fats
• Vegetable oils (canola, olive, peanut or sesame)
• Sodium-free, light mayonnaise and salad dressing
• Low-sodium or "no salt added" ketchup
• Vinegar
Seasonings
Try these seasonings instead of salt to flavor your food.
• Herbs, spices or salt-free seasoning blends
• Chopped vegetables, like garlic, onions and peppers
• Lemons and limes
• Ginger